Organization
ALLIANCE PRIMARY CARE ASSOC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE MARTIN M.D. (CEO)
(817) 741-5437
Entity
Organization
Contact information
Practice address
12461 TIMBERLAND BLVD, SUITE 309, FORT WORTH, TX 76244-5213
(817) 741-5437
(817) 431-5870
Mailing address
12461 TIMBERLAND BLVD, SUITE 309, FORT WORTH, TX 76244-5213
(817) 741-5437
(817) 431-5870
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L8824
TX
Other
Enumeration date
06/19/2012
Last updated
08/16/2016
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